The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare Association

Right atrial thrombosis, which occurs alone, is rare in clinical practice. Its incidence and mechanism are unclear, but susceptibility factors are usually present at its occurrence: ischemic heart disease, heart failure, atrial fibrillation, and chronic kidney disease. Complete isolated right atrial...

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Main Authors: Yanhan Xu MM, Mingcheng Gao MM, Yajun Zhang MM, Zhan Shi MM, Huiwen Chang MM, Song Jianxiang MD
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/23247096231171471
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author Yanhan Xu MM
Mingcheng Gao MM
Yajun Zhang MM
Zhan Shi MM
Huiwen Chang MM
Song Jianxiang MD
author_facet Yanhan Xu MM
Mingcheng Gao MM
Yajun Zhang MM
Zhan Shi MM
Huiwen Chang MM
Song Jianxiang MD
author_sort Yanhan Xu MM
collection DOAJ
description Right atrial thrombosis, which occurs alone, is rare in clinical practice. Its incidence and mechanism are unclear, but susceptibility factors are usually present at its occurrence: ischemic heart disease, heart failure, atrial fibrillation, and chronic kidney disease. Complete isolated right atrial thrombosis rarely occurs. We report here a 47-year-old male patient with a right atrial mass on cardiac ultrasound and chest computed tomography (CT) and a history of previous right heart surgery with type 2 diabetes mellitus and atrial fibrillation, complaining of “chest tightness and shortness of breath after activity for half a month.” The patient was admitted to the hospital and underwent right atrial mass resection, and the postoperative pathology showed “right atrial thrombus.” As right atrial thrombus is very rare and can be a serious threat to life when it occurs in the heart, the prevention and treatment of right atrial thrombus are very important. Based on the analysis of this case, we believe that for patients with special medical history such as “post right heart surgery and atrial fibrillation,” we need to be vigilant for atrial thrombosis.
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spelling doaj.art-181a95dfd2da461581e4d89cf42c78032023-05-03T16:33:47ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962023-05-011110.1177/23247096231171471The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare AssociationYanhan Xu MM0Mingcheng Gao MM1Yajun Zhang MM2Zhan Shi MM3Huiwen Chang MM4Song Jianxiang MD5Nantong University, ChinaNantong University, ChinaSixth Affiliated Hospital of Nantong University – Yancheng Third People’s Hospital, ChinaSixth Affiliated Hospital of Nantong University – Yancheng Third People’s Hospital, ChinaSixth Affiliated Hospital of Nantong University – Yancheng Third People’s Hospital, ChinaSixth Affiliated Hospital of Nantong University – Yancheng Third People’s Hospital, ChinaRight atrial thrombosis, which occurs alone, is rare in clinical practice. Its incidence and mechanism are unclear, but susceptibility factors are usually present at its occurrence: ischemic heart disease, heart failure, atrial fibrillation, and chronic kidney disease. Complete isolated right atrial thrombosis rarely occurs. We report here a 47-year-old male patient with a right atrial mass on cardiac ultrasound and chest computed tomography (CT) and a history of previous right heart surgery with type 2 diabetes mellitus and atrial fibrillation, complaining of “chest tightness and shortness of breath after activity for half a month.” The patient was admitted to the hospital and underwent right atrial mass resection, and the postoperative pathology showed “right atrial thrombus.” As right atrial thrombus is very rare and can be a serious threat to life when it occurs in the heart, the prevention and treatment of right atrial thrombus are very important. Based on the analysis of this case, we believe that for patients with special medical history such as “post right heart surgery and atrial fibrillation,” we need to be vigilant for atrial thrombosis.https://doi.org/10.1177/23247096231171471
spellingShingle Yanhan Xu MM
Mingcheng Gao MM
Yajun Zhang MM
Zhan Shi MM
Huiwen Chang MM
Song Jianxiang MD
The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare Association
Journal of Investigative Medicine High Impact Case Reports
title The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare Association
title_full The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare Association
title_fullStr The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare Association
title_full_unstemmed The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare Association
title_short The Patient With Right Atrial Thrombus With a Previous History of Double-Chambered Right Ventricular Surgery and Atrial Fibrillation: A Rare Association
title_sort patient with right atrial thrombus with a previous history of double chambered right ventricular surgery and atrial fibrillation a rare association
url https://doi.org/10.1177/23247096231171471
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